| NPI | 1770074080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKIE CHRISTIE Administrator 414-539-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WI 0013808) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WI 0010101) |
| 251E00000X Home Health (Licence: WI 0014111) | |
| 251E00000X Home Health (Licence: WI 0015427) | |
| 251E00000X Home Health (Licence: WI 0013058) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2020-10-22 |